Published: October 21, 2005
VHA Survey Shows Hospitals Are Re-Evaluating Their Disaster Recovery Plans Following Katrina and Rita
Hospitals Focusing on Evacuation Plans, Communications Technology and Emergency Generators
In the wake of Hurricanes Katrina and Rita,
hospitals are re-evaluating their disaster recovery plans. VHA Inc., the
national health care alliance, surveyed member hospitals across the
country, and nearly half of those who responded are planning to modify
their disaster plans -- changing their evacuation plans, seeking
alternative communication systems and preparing for extended periods of
self-sufficiency.
More than 350 hospital leaders and managers, ranging from chief executive
officers and chief nursing officers to materials managers, pharmacists and
emergency department coordinators, responded to the VHA survey. According
to respondents, nearly half (48.2 percent) are planning to change their
disaster recovery plans. A little more than half (51.3 percent) said they
were not planning to make any changes, and 0.3 percent said their hospital
did not currently have a disaster recovery plan.
"Katrina showed how fragile yet vital our technology and supply
infrastructures are, and how long hospitals may have to operate on their
own in times of major disasters," said Curt Nonomaque, president and chief
executive officer for VHA Inc. "Many hospitals are taking this time to
evaluate their disaster recovery plans to determine whether they are
prepared to face similar crises. We've developed a checklist to help
hospitals prepare."
Emergency department coordinators are most likely (68 percent) to make
changes to their disaster plans. Chief executive officers/presidents and
chief nursing officers closely followed, with 53 percent and 52 percent,
respectively. Materials managers (33 percent) and pharmacists (21 percent)
were least likely to make changes to their recovery plans.
Larger hospitals are more likely to modify their disaster recovery plans.
Nearly 60 percent of hospitals with 100,000 adjusted patient days or more
said they were reviewing their plans. In contrast, 44 percent of hospitals
with less than 50,000 adjusted patient days said they were going to adjust
their plans, and one percent of these hospitals said they have not
developed a recovery plan. In addition, 46 percent of hospitals with
between 50,001 to 100,000 patient days said they were planning to adjust
their plans.
The survey also showed that hospitals in certain areas were more likely to
re-evaluate their recovery plans. For example, more than three quarters of
respondents from the Central Atlantic, New England and West Coast regions
(80 percent, 78 percent and 75 percent, respectively) were planning to
modify their plans. Respondents from regions in hurricane areas (Southwest
(61 percent), Southeast (40 percent), and Gulf States (56 percent)) were in
the low to middle range as it relates to re-evaluating their recovery
plans. Meanwhile respondents from Michigan (29 percent), Mountain States
(34 percent) and Oklahoma (38 percent) were least likely to change their
recovery plans.
Some modifications that hospitals are considering making to their disaster
recovery plans include:
-- Establishing formal arrangements to receive food via helicopter.
-- Adding a section on how to treat patients when there is no electricity
or communication devices (telephones).
-- Identifying communications system other than cell phones.
-- Adding a different classification for payer admission to better track
patients.
-- Exploring alternate evacuation sites that are on higher ground.
-- Implementing a Hospital Emergency Incident Command System (HEICS).
-- Developing a volunteer policy for individuals who want to volunteer
during disasters.
-- Purchasing more flashlights and installing large rechargeable
flashlights in the operating and procedure rooms.
Historically, when natural disasters strike and impact hospitals, VHA has
focused attention on caring for the caregivers themselves. More than 5,000
employees from six VHA hospitals in the Gulf States region had their homes
damaged or destroyed by Hurricanes Katrina and Rita. VHA, the VHA Health
Foundation and VHA members from across the nation have donated more than $2
million to provide cash for VHA hospitals employees affected by the storms.
Since 1992, beginning with Hurricane Andrew, VHA has provided support to
hospital employees in times of crisis.
Based on member experiences along the Gulf Coast and Florida, VHA also has
developed a simple checklist to help hospitals prepare for disasters. Go to
www.vha.com to access the list. VHA has also developed a tool kit to help
hospitals recover their IT systems when they are damaged or destroyed by
disasters or accidents.
About VHA
VHA Inc., based in Irving, Texas, is a national alliance that provides
industry-leading supply chain management services and supports the
formation of regional and national networks to help members improve their
clinical and economic performance. With 18 offices across the U.S., VHA has
a track record of proven results in serving more than 2,400 health care
organizations nationwide.
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